The holder whose full name is Houchens, Amanda Marie,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11015970A) which status is Superceded.
| Name | Houchens, Amanda Marie |
|---|---|
| License Number | 11015970A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |